Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 17-01763 | KS |
NPI | 1144374760 |
---|---|
Provider Name | Mrs. Brenda Jean Fink |
First Address | Maize, KS 67101-3740 |
Second Address | Wichita, KS 67208-4517 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/01/2007 |
Last Update Date | 20/04/2015 |